<form id="add-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">

    <div class="form-group">
        <label for="c-name" class="control-label col-xs-12 col-sm-2">{:__('Name')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-name" data-rule="required" class="form-control" name="row[name]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label for="c-buildtime" class="control-label col-xs-12 col-sm-2">{:__('Buildtime')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-buildtime" data-rule="required" class="form-control datetimepicker" data-date-format="YYYY-MM-DD" data-use-current="true" name="row[buildtime]" type="text" value="{:date('Y-m-d')}">
        </div>
    </div>
    <div class="form-group">
        <label for="c-starttime" class="control-label col-xs-12 col-sm-2">{:__('Starttime')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-starttime" data-rule="required" class="form-control datetimepicker" data-date-format="YYYY-MM-DD" data-use-current="true" name="row[starttime]" type="text" value="{:date('Y-m-d')}">
        </div>
    </div>
    <div class="form-group">
        <label for="c-client" class="control-label col-xs-12 col-sm-2">{:__('Client')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-client" data-rule="required" class="form-control" name="row[client]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label for="c-buildingarea" class="control-label col-xs-12 col-sm-2">{:__('Buildingarea')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-buildingarea" data-rule="required" class="form-control" step="0.01" name="row[buildingarea]" type="number">
        </div>
    </div>
    <div class="form-group">
        <label for="c-landarea" class="control-label col-xs-12 col-sm-2">{:__('Landarea')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-landarea" class="form-control" step="0.01" name="row[landarea]" type="number">
        </div>
    </div>
    <div class="form-group">
        <label for="c-bednum" class="control-label col-xs-12 col-sm-2">{:__('Bednum')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-bednum" class="form-control" name="row[bednum]" type="number">
        </div>
    </div>
    <div class="form-group">
        <label for="c-outpatientnum" class="control-label col-xs-12 col-sm-2">{:__('Outpatientnum')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-outpatientnum" class="form-control" name="row[outpatientnum]" type="number">
        </div>
    </div>
    <div class="form-group">
        <label for="c-emergencyonquantity" class="control-label col-xs-12 col-sm-2">{:__('Emergencyonquantity')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-emergencyonquantity" class="form-control" name="row[emergencyonquantity]" type="number">
        </div>
    </div>
    <div class="form-group">
        <label for="c-content" class="control-label col-xs-12 col-sm-2">{:__('Content')}:</label>
        <div class="col-xs-12 col-sm-8">
            <textarea id="c-content" class="form-control editor" rows="5" name="row[content]" cols="50"></textarea>
        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-success btn-embossed disabled">{:__('OK')}</button>
            <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
        </div>
    </div>
</form>
